NPI | 1841537230 |
---|---|
Former Name | JOCELYN BOOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60711271) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA PA60711271) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA PA60711271) | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2024-09-25 |